Complexité et éducation thérapeutique. Exemples de la polypathologie chronique et de l'intervention brève multiple en garde à vue

Complexity is a concept that could help renovate the biomedical model of health. The therapeutic patient education (TPE) or the self-management is a practice that can change the way we imagine the health care system and integrate the psychosocial dimensions to the current biomedical model of health. TPE should consider the ideas and techniques deriving from the sciences of complexity. Indeed, the classical statistical techniques are not appropriate to take into account real life specificities or multifactorial processes. We present here two distinct examples of TPE in which complexity naturally rises: in patients with multimorbidity, and in patients examined in custody settings. We also present several available techniques that preserve complexity.